Welcome Current and Future Nevada Medicaid Providers

Providers are the backbone of Nevada Medicaid to keep Nevadans insured. Thank you for your interest in becoming or being a Nevada Medicaid Provider. Please review the links on the left for additional information. Nevada Medicaid providers are being asked to reach out to members using the resources available here.

One Stop-Shop for Medicaid Credentialing Coming Soon!

 Nevada Medicaid wants to make credentialing easy for Nevada Medicaid Providers. Provider credentialing is the process of establishing that medical providers have proper qualifications to perform their jobs. This requires contacting a range of organizations, including medical schools, licensing boards, and other entities, to verify that the providers have the correct licenses and certificates. In addition, the credentialing organization makes sure there are no past reported issues that suggest the providers are incapable of competently treating patients. This process is separate from enrollment. otherwise known as the screening process, which will remain the same. Currently, the credentialing process is conducted by each Managed Care Organization (MCO) and Dental Benefit Administrator (DBA) for Nevada Medicaid.  The Division of Health Care Financing and Policy (DHCFP, AKA Nevada Medicaid) is procuring a Credentialing Verification Organization (CVO) to manage all credentialing for Nevada Medicaid.  A one stop-shop for credentialing for Nevada Medicaid programs.